Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 00812 | IA |
N | 101YM0800X | Mental Health Counselor | 589 | NE |
Y | 103TC1900X | Counseling Psychologist | 768 | NE |
NPI | 1003914797 |
---|---|
Provider Name | James Thomas Haley |
First Address | Omaha, NE 68144 |
Second Address | Omaha, NE 68144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 21/01/2011 |